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NPI Profile for HENRICK K HOLMBERG in FORT DEFIANCE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X | |||
Critical Care Medicine |
163WC0200X |
| NPI # | 1598429300 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 10/27/2021 | |
| Last updated | 10/27/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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HENRICK K HOLMBERG
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HENRICK K HOLMBERG, RN